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HomeMy WebLinkAboutInsurance Certificate: Civil Air Patrol '4`°R°® CERTIFICATE OF LIABILITY INSURANCE °ATE'MM 012 9/11/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. .. IMPORTANT: If the certificate holder is'an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Laura Stowers AHM Financial Group, LLC PHONE (314)523-8800 FAC . (314)453-1555 11975 Westline Industrial Dr E-MAIL .lstowers @ahmfinancial rou g p.com INSURERS AFFORDING COVERAGE NAIC A St Louis MO 63146 INSURER A:Charter Oak Fire Ins Cc 5615 INSURED INSURER B:Travelers Indemnity Com an Civil Air Patrol INSURER C: 105 S. Hansell St. INSURER O: Bldg 714, Maxwell Air Force Base, INSURER E: Montclomery AL 36112-6332 INSURER F: COVERAGES CERTIFICATE NUMBER:12-13 Auto only REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR LTR TYPE OF INSURANCE POLICY NUMBER MMIDDIYYYY MMIDD/YYP LIMITS JIM EFF GENERAL LIABILITY EACH OCCURRENCE E COMMERCIAL GENERAI LIABILITY AMA p PREMISE mu m" S CLAIMS MADE ❑OCCUR MED EXP(Any one Person) S PERSONAL 8 ADV INJURY E GENERAL AGGREGATE S rGEN'L GRE GATE LIMIT APPLIES PERPRODUCTS-COMPIOP AGG S ICY PRO IFC OC S PONIOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 1 000 000 A ANY AUTO BODILY INJURY(Per person) S AU OS SCHEDULED 81075OK8747COF12 AOS 10/1/2012 10/1/2013 AUTOS AUTOS BODILY INJURY(Per awdent) E A HIRED AUTOS X NON-OWNED A75OKS76012CAG TX 6 WA 10/1/2012 0/1/2013 PROPERTY DAMAGE Per anoldenl E AUTOS B 810750X8759IND12 8I 0/1/2012 0/1/2013 S 1 000 000 Und m ennsud motorist UMBRELLA LIAB OCCUR ' EXCESS LIAB CLAIMS-MADE EACH OCCURRENCE E AGGREGATE $ DED RETENTION S WORKERS COMPENSATION S AND EMPLOYERS'LIABILITY YIN WC STATU OTH- ANY PROPRIETORIPARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? ❑ NIA E .EACH ACCIDENT S -iMandetory In NH) If yes,desProd under DISEASE EA EMPLOYE E DESCRIPTION OF OPERATIONS Delow E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,N more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS. Finance Dept. City Hall AUTHORIZED REPRESENTATIVE Ashland, OR 97520 Chase Butler/LSTOWE ACORD 25(2010105) INS025 ©1988-2010 ACORD CORPORATION. All rights reserved. nmmRlm Tr_ Annon .,___ __.a r___